Centre for Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Centre for Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
J Dent. 2020 Mar;94:103281. doi: 10.1016/j.jdent.2020.103281. Epub 2020 Jan 24.
Diligent wear of removable orthodontic retainers requires prolonged adherence and is invariably necessary to preserve optimal results. Patient-informed behaviour-change interventions represent a promising and novel means of enhancing adherence to removable retainer wear. The aim of this study was to describe the development of a patient-informed mobile application designed to enhance retainer wear.
App development encompassed consideration of participant preferences, social media posts, available interventions and behaviour change theories. Qualitative methods including analysis of publicly-available retainer-related posts on Twitter (n = 827) and one-to-one interviews were undertaken. Audio-recorded one-to-one interviews were undertaken to identify patient preferences in relation to features, content and design of the application. A criterion-based purposive sample of participants wearing vacuum-formed retainers for at least 4 years was used (n = 15). Thematic analysis of transcribed data was undertaken. These data were triangulated to inform design and content of the application.
The need to facilitate communication with the treating clinician, responsive reminder and tracking systems, and access to useful and engaging written and visual information, in addition to other personalised and interactive features were considered important. Concerns related to retainer wear shared on Twitter informed an exhaustive list of frequently-asked questions. Application features were mapped to relevant theoretical constructs. Determinants of existing behavioural change theories were also used to link application features to retainer wear and maintenance.
A holistic process involving both patient and professional input can be useful in informing the development of mobile applications. The orthodontic application ("My Retainers") will undergo further scrutiny in relation to its effectiveness in inducing behavioural change and concerning patient experiences prior to finalisation.
可摘式矫正保持器的佩戴需要长期坚持，这是保持最佳矫正效果所必需的。基于患者信息的行为改变干预措施是一种很有前途和新颖的方法，可以提高可摘式保持器佩戴的依从性。本研究的目的是描述一种基于患者信息的移动应用程序的开发，旨在提高保持器佩戴的依从性。
应用程序的开发包括考虑参与者的偏好、社交媒体帖子、现有的干预措施和行为改变理论。采用定性方法，包括对 Twitter 上与保持器相关的公开帖子（n=827）进行分析和一对一访谈。对一对一访谈进行音频记录，以确定患者对应用程序的功能、内容和设计的偏好。使用至少佩戴真空成型保持器 4 年的参与者作为基于标准的目的抽样（n=15）。对转录数据进行主题分析。这些数据与设计和内容的应用程序进行了三角剖分。
需要促进与治疗医生的沟通、响应式提醒和跟踪系统，以及获取有用和吸引人的书面和视觉信息，以及其他个性化和互动功能，这些都被认为是很重要的。在 Twitter 上分享的关于保持器佩戴的问题，为详尽的常见问题列表提供了信息。应用程序的功能与相关理论结构相对应。现有的行为改变理论的决定因素也被用于将应用程序的功能与保持器佩戴和维护联系起来。
一个包含患者和专业人员投入的整体过程，可以有效地为移动应用程序的开发提供信息。在最终确定之前，将对正畸应用程序（“My Retainers”）进行进一步审查，以评估其在诱导行为改变和患者体验方面的有效性。
